TY - JOUR
T1 - Patient Reported Outcomes Measurement Information System Scores Are Responsive to Early Changes in Patient Outcomes Following Arthroscopic Partial Meniscectomy
AU - Bernholt, David
AU - Wright, Rick W.
AU - Matava, Matthew J.
AU - Brophy, Robert H.
AU - Bogunovic, Ljiljana
AU - Smith, Matthew V.
N1 - Funding Information:
The authors report the following potential conflicts of interest or sources of funding: R.W.W. receives support from the National Institutes of Health, the National Institute of Arthritis and Musculoskeletal and Skin Diseases, Wolters, Kluwer and Lippincott, Williams & Wilkins. M.J.M. receives support from Arthrex and Breg. M.V.S. receives support from Arthrex. Full ICMJE author disclosure forms are available for this article online, as supplementary material .
Publisher Copyright:
© 2017 Arthroscopy Association of North America
PY - 2018/4
Y1 - 2018/4
N2 - Purpose: The purpose of this study was to test the hypothesis that Patient Reported Outcomes Measurement Information System (PROMIS) computer-adaptive testing (CAT) physical function and pain interference scores can detect early variations in postoperative outcomes following arthroscopic partial meniscectomy and to determine whether age, sex, body mass index, mechanical symptoms, duration of symptoms, and the severity of chondrosis affect these scores. Methods: Seventy-five patients who had undergone a partial meniscectomy between September 2015 and March 2016 and had both preoperative and postoperative PROMIS-CAT data for physical function, pain interference, and depression were included. Demographic, clinical, and surgical data including the presence of intraoperative chondral lesions were collected for statistical analysis to assess for factors that led to differences in PROMIS-CAT outcomes. Results: Preoperatively, patients had decreased physical function and increased pain interference in excess of 1 standard deviation from the general population with mean PROMIS scores of 38.5 and 63.5, respectively. At the 6-week postoperative visit, patients had significant improvements in both physical function and pain interference with mean scores of 43.4 (P <.001, SE = 0.75) and 55.5 (P <.001, SE = 0.83). Female patients had less improvement in PROMIS physical function (P =.03) and depression (P =.02) scores postoperatively compared with male patients. Patients with high-grade articular cartilage lesions had less improvement in physical function (P =.014) and pain interference (P =.010) at 6 weeks postoperative compared with patients with low grade or no chondral lesion. Conclusions: PROMIS-CAT provides responsive outcome measures to early postoperative changes in physical function and pain following arthroscopic partial meniscectomy and has prognostic value in patient outcomes 6 weeks after procedure. Level of Evidence: Level IV case series.
AB - Purpose: The purpose of this study was to test the hypothesis that Patient Reported Outcomes Measurement Information System (PROMIS) computer-adaptive testing (CAT) physical function and pain interference scores can detect early variations in postoperative outcomes following arthroscopic partial meniscectomy and to determine whether age, sex, body mass index, mechanical symptoms, duration of symptoms, and the severity of chondrosis affect these scores. Methods: Seventy-five patients who had undergone a partial meniscectomy between September 2015 and March 2016 and had both preoperative and postoperative PROMIS-CAT data for physical function, pain interference, and depression were included. Demographic, clinical, and surgical data including the presence of intraoperative chondral lesions were collected for statistical analysis to assess for factors that led to differences in PROMIS-CAT outcomes. Results: Preoperatively, patients had decreased physical function and increased pain interference in excess of 1 standard deviation from the general population with mean PROMIS scores of 38.5 and 63.5, respectively. At the 6-week postoperative visit, patients had significant improvements in both physical function and pain interference with mean scores of 43.4 (P <.001, SE = 0.75) and 55.5 (P <.001, SE = 0.83). Female patients had less improvement in PROMIS physical function (P =.03) and depression (P =.02) scores postoperatively compared with male patients. Patients with high-grade articular cartilage lesions had less improvement in physical function (P =.014) and pain interference (P =.010) at 6 weeks postoperative compared with patients with low grade or no chondral lesion. Conclusions: PROMIS-CAT provides responsive outcome measures to early postoperative changes in physical function and pain following arthroscopic partial meniscectomy and has prognostic value in patient outcomes 6 weeks after procedure. Level of Evidence: Level IV case series.
UR - http://www.scopus.com/inward/record.url?scp=85040597972&partnerID=8YFLogxK
U2 - 10.1016/j.arthro.2017.10.047
DO - 10.1016/j.arthro.2017.10.047
M3 - Article
C2 - 29373298
AN - SCOPUS:85040597972
SN - 0749-8063
VL - 34
SP - 1113
EP - 1117
JO - Arthroscopy - Journal of Arthroscopic and Related Surgery
JF - Arthroscopy - Journal of Arthroscopic and Related Surgery
IS - 4
ER -